CCD Registration 2017-2018

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STUDENT INFORMATION
Name
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Address
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Phone --
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Email
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Grade
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School Attending
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Emergency Phone number
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SACRAMENTAL INFORMATION
Baptism
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Provide Parish (with City & State) and date of Baptism
First Penance
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Provide Parish & Date of First Penance
First Communion
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Provide Parish & Date of First Communion
PARENT INFORMATION
Father's Name
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Mother's Maiden Name
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Marital Status
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Parish
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Please provide where you are currently an active member
 
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